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<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
	<meta http-equiv="Content-Type" content="text/html;charset=UTF-8">
	<title>附表4</title>
	<link rel="stylesheet" href="/x/zjabank/static/css/MyPrint.css">
</head>
<body>
	<input class="notPrint" type="button" value="打印" onclick="print()"/>
	<h1>
		<p>浙江银行业</p>
		<p>撤销“逃废债个人联合惩戒”申请表</p>
	</h1>
	<table class="table" align="center">
		<tr>
			<td rowspan=2 style="width:15mm;height:30mm;">
				<div class="verticalText" style="height:30mm;">申请人</div>
			</td>
			<td style="height:15mm;">
				<div class="text" >申请单位</div>
			</td>
			<td colspan=3 style="width:120mm;">
				<div class="text">${input_dept}</div>
			</td>
		</tr>
		<tr>
			<td style="width:40mm;">
				<div class="text" style="width:30mm;">联系人</div>
			</td>
			<td style="width:40mm;height:15mm;">
				<div class="text" style="width:30mm;">${linkman}</div>
			</td>
			<td style="width:40mm;">
				<div class="text" style="width: 35mm;">联系电话</div>
			</td>
			<td style="width:40mm;">
				<div class="text">${input_tel}<br>${input_phone}</div>
			</td>
		</tr>
		<tr>
			<td rowspan=3 style="height:50mm">
				<div class="verticalText" style="height:50mm">被申请人</div>
			</td>
			<td style="height:15mm">
				<div class="text">姓名</div>
			</td>
			<td>
				<div class="text">${escaper_name}</div>
			</td>
			<td>
				<div class="text">身份证号</div>
			</td>
			<td>
				<div class="text">${id_card}</div>
			</td>
		</tr>
		<tr>
			<td style="height:20mm">
				<div class="text">户口所在地</div>
			</td>
			<td>
				<div class="text">${address}</div>
			</td>
			<td>
				<div class="text">婚姻状况</div>
			</td>
			<td>
				<div class="text">${marriage}</div>
			</td>
		</tr>
		<tr>
			<td style="height:15mm">
				<div class="text">居住地</div>
			</td>
			<td>
				<div class="text">${live_status}</div>
			</td>
			<td>
				<div class="text">工作单位</div>
			</td>
			<td>
				<div class="text">${work_unit}</div>
			</td>
		</tr>
		<tr>
			<td colspan=2 style="height:40mm;width:45mm;">
				<div class="text">撤销内部通报的主要理由和事实依据（附证明材料）</div>
			</td>
			<td colspan=3>
				<div class="text">
					<div class="text" style="text-align: left;">
						<p>1.收回贷款本金${back_money}元，欠息${back_interest}元;</p>
						<p>2.其他:${cancel_reason}</p>
					</div>
				</div>
			</td>
		</tr>
		<tr>
			<td colspan=2 style="width: 55mm;height:80mm;"><div class="text">申报但是人申明</div></td>
			<td colspan=3 style="width: 120mm;">
				<jsp:include page="PiceOfApply.jsp" flush="true"></jsp:include>
			</td>
		</tr>
	</table>
	<div style="font-weight: bold;margin-top:5mm;">备注：申报表必须由申报人签章后方能生效。</div>
</body>
</html>